NURSING 342 TEST 1 QUESTIONS AND COMPLETE SOLUTIONS
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Course
NUR 342
Institution
NUR 342
Key Health Care System Goals Helath promotion and illness prevention Diagnosis and treatment Rehabilitation and health restoration
Healthcare Delivery Systems Acute care hospitals, specialty hospitals, physicians offices, APNS, Nurse Midwives, clinics, dental offices, urgent care centers etc.
Cha...
NURSING 342 TEST 1 QUESTIONS AND
COMPLETE SOLUTIONS
Key Health Care System Goals ✅Helath promotion and illness prevention
Diagnosis and treatment
Rehabilitation and health restoration
Healthcare Delivery Systems ✅Acute care hospitals, specialty hospitals, physicians
offices, APNS, Nurse Midwives, clinics, dental offices, urgent care centers etc.
Characteristics of Acute Care Hospitals ✅Continues to be the focus of care in US
Delivers Pt. care diagnostic and therapeutic
Complex organizations - CNOs CEOs etc
Medical and Nursing Providers - hospitalists
Use of Standards - The Joint Commission
Importance of consumer.
Classification of Acute Care Hospitals ✅Public Access - LGMC, community
(nonfederal, short term, specialty, public may use ) or non-community (federal, long-
term, units of institutions like prisons for chronic diseases or psych health) Hospitals
determined by amount of access public has to hosp.
Ownership
* Not for profit
* Investor-owned
*Faith based
*Government
Number of beds
Length of Stay - short term (<30 days) long term (>30 days)
Accreditation
Licensure
Teaching
Vertical Integration
Multihospital system
Accreditation ✅Voluntary. "Above and beyond"; insurers want their plan members to
receive care in these hospitals; for a school of nursing or medicine to use a hospital as
a clinical site, this is required, gained by TJC needed for CMS reimbursement
Licensure ✅Must meet certain standards and requirements; hospital must be licensed
through state to provide services
, Vertical Integration ✅considers whether hospital focuses on primary, secondary, or
tertiary care services.
Primary - provide services on as need basis to public
Secondary - acute care hospitals and specialized outpatient services such as
ambulatory surgical centers.
Tertiary - university medical centers and specialty hospitals like pediatric hospitals and
burn centers.
Multihospital Systems ✅A corporation may include acute care hospital, home health
agencies, long-term care facilities, hospice care, and various ambulatory care provider
organizations.
Change in Acute Care Hospitals Environment ✅Medical knowledge and technology
Increased use of information technology
Managed care and reimbursement
Care across continuum
Uninsured and underinsured
Patient and workforce diversity
Evidenced-based practice
New types of practitioners- Clinical nurse leaders
Increase need for collaboration and inter-professional education (IPE - getting all
services to work together) and practice
Assumptions of Health Care System and Nurses ✅System level practice - keeps
services level, nurses taught to care for patient in the same way no matter what
department you are in.
Population level care - rural areas have less resources
EBP
Client-Centered Practice- manage chronic conditions in client-focused manner.
Use of information
theory of knowledge -based nursing assessment
Effective fiscal stewardship-cost effectiveness
Social Justice - helping those who need assistance.
Community technology continuity and comprehensive care - social media, networking
Guardianship of nursing profession - not being taken over by other professions
Rapidly changing health care environment ✅New medical knowledge and technology,
greater use of a variety of settings where care provided outside of acute care hospitals,
increase in uninsured and underinsured, role changes, greater diversity in pts. and
health care workforce etc.
Response to changes in Health care ✅Leadership from all nurses to cope with
constant organization and health care delivery changes and to empower others.
Flexibility.
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